WO2009056906A1 - Dispositif d'irrigation intestinale - Google Patents

Dispositif d'irrigation intestinale Download PDF

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Publication number
WO2009056906A1
WO2009056906A1 PCT/IB2007/054401 IB2007054401W WO2009056906A1 WO 2009056906 A1 WO2009056906 A1 WO 2009056906A1 IB 2007054401 W IB2007054401 W IB 2007054401W WO 2009056906 A1 WO2009056906 A1 WO 2009056906A1
Authority
WO
WIPO (PCT)
Prior art keywords
coupling part
waste collection
collection bag
rectal catheter
coupling
Prior art date
Application number
PCT/IB2007/054401
Other languages
English (en)
Other versions
WO2009056906A8 (fr
Inventor
Henrik Bork Bjerregaard
Niels Balle
Christian Dorfelt
Original Assignee
Mbh-International A/S
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Mbh-International A/S filed Critical Mbh-International A/S
Priority to CA2703247A priority Critical patent/CA2703247C/fr
Priority to DK07826916.4T priority patent/DK2211937T3/da
Priority to AT07826916T priority patent/ATE517647T1/de
Priority to CN2007801013702A priority patent/CN101842125B/zh
Priority to US12/738,290 priority patent/US8574206B2/en
Priority to EP07826916A priority patent/EP2211937B8/fr
Priority to PCT/IB2007/054401 priority patent/WO2009056906A1/fr
Publication of WO2009056906A1 publication Critical patent/WO2009056906A1/fr
Priority to NO20100769A priority patent/NO20100769L/no
Publication of WO2009056906A8 publication Critical patent/WO2009056906A8/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/442—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices having irrigation ports or means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0279—Cannula; Nozzles; Tips; their connection means
    • A61M3/0287—Cannula; Nozzles; Tips; their connection means with an external liquid collector
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10—Tube connectors; Tube couplings

Definitions

  • the present invention relates to an intestinal irrigation device comprising a waste collection bag and a rectal catheter, the rectal catheter has a first end for coupling with the waste collection bag and a free end for insertion into the rectum, the waste collection bag has a first wall circumferentially united with an opposing second wall and an inlet opening for irrigated waste.
  • a number of people are not able to move onto a toilet to defecate.
  • the reasons for this may e.g. be traumas, deceases, age, or they may be newly operated.
  • spinal cord injury patients require assistance when defecating.
  • defecation is preformed laying in bed either as an unplanned event or helped by caring staff using various means for facilitating evacuation.
  • These means can be a combination of stimulation, laxatives, suppositories, or other medical interventions or pure mechanical evacuation.
  • a conventional transanal irrigation device consists of a silicone catheter provided with an inflatable balloon.
  • the catheter is introduced in the rectum and the baloon is inflated to keep the catheter fixed inside the rectum, and further to prevent leakage via the anal canal during the subsequent irrigation.
  • the faecal matter subsequently evacuated from the patient is collected in a bedpan or spills into the bed sheets or absorbent matter, such as towels, single use absorbent sheets, etc. This procedure is time consuming, not dignifying for neither the caring person nor the patient, it soils the environment both with irrigated matter and unpleasant smell and the patient needs washing afterwards.
  • an intestinal irrigation device of the kind mentioned in the opening paragraph that is closeable and easy to dispose after use.
  • an intestinal irrigation device of the kind mentioned in the opening paragraph that is inexpensive to manufacture and is simple and reliable to use.
  • the inlet opening may be provided in the second wall, i.e. the wall facing towards the patient during the irrigation procedure, and the second coupling part may protrude inside the waste collection bag from the first wall, i.e. the wall farthest from the patient and accessible during the irrigation procedure, substantially opposite the inlet opening.
  • the mating of these parts are particular easy to perform, in particular after termination of the irrigation where the waste collection bag is full of irrigated matter.
  • the first coupling part is a hollow tubular first coupling part having a part designed to receive the rectal catheter, which part fits into or surrounds an annular part of a second coupling part which is operable from outside the waste collection bag to mate and/or engage with the female tubular first coupling part.
  • first coupling part and the second coupling part may be designed with snap fitting means such as annular key and slot, or vice versa, or the second coupling part may fit around the exterior diameter of a part of the first coupling part protruding a short distance inside the waste collection bag.
  • the rectal catheter, a coupling end of which may be annularly inserted between the overlapping parts of the first coupling part and the second coupling part, may provide annular sealing depending on dimensioning of the diameters of the coupling parts and the catheter.
  • the rectal catheter is configured as a dimensionally stable, tubular structure which has an inlet opening for infusing the irrigation liquid.
  • the dimensionally stable structure advantageously keeps the rectum distended during the period the rectal catheter is inserted.
  • the sphincter clamps in a tight fitting manner around the exterior face of the non- collapsible rectal catheter and provides a sealing capacity that for a normal functioning sphincter is sufficient to prevent leakage. Due to the dimensional stability of the rectal catheter the rectal catheter does not collapse in response to peristaltic movements and/or intestinal force and a free flow pathway is sustained both during infusion of irrigation liquid and during the subsequent evacuation of waste.
  • the rectal catheter may be given a tapered free end opposite the end which is designed for engaging the first and/or second coupling part of the waste collection bag.
  • the diameter of the rectal catheter may vary in dependency of anatomical conditions.
  • a child may require a short rectal catheter having a small external diameter contrary to an adult, which is able to accept larger external diameters inside the rectum.
  • a catheter having a cone-shaped end may be preferred.
  • the length, external diameter, internal diameter and degree of tapering towards the free end of the rectal catheter are selected in dependency of the required use and the anatomical conditions of the patient.
  • Various standard dimension products and individual combination of rectal catheters and waste collection bags of different sizes are foreseen within the scope of the present invention allowing the patient to select exactly the combination suitable for her/his specific need.
  • the insertion may cause considerable inconvenience to the patient and preferably an introducer may be used for facilitating a gentle insertion.
  • the introducer may e.g. have a pointed blunt tip to aid in alleviating the physical discomfort and pain that the patient may expire during insertion of the rectal catheter.
  • the introducer has a guide rod, which extends displaceable through the second coupling part with the tip of the introducer located inside the bag.
  • the introducer is in this embodiment not a separate part but can be moved in and out of the catheter so that the tip protrudes from the catheter end and the catheter can be smoothly and gently inserted into the rectum.
  • the tip of the introducer may be dimensioned so that the tip also can serve as a seal inside the catheter.
  • This second embodiment may be very fast to operate and may be preferred for children.
  • fig. 5 shows the waste collection bag during and after evacuation of irrigated matter, where the first coupling part and the second coupling part are disengaged
  • fig. 8 shows in an enlarged scale an axial, sectional view of a second way of engaging a first coupling part, a second coupling part and a rectal catheter, and
  • the invention is described below with the assumption that the intestinal irrigation device is used in a transanal irrigation
  • the feeding branch can be provided in any of the first and the second coupling parts and a clamp be used for opening and closing supply of irrigation liquid.
  • the first coupling part 8' has a first short tubular extension 30 extending inside the waste collection bag 1 and the second coupling part 7' has a mating second tubular extension 31 fitting tightly and sealingly around the first tubular extension.
  • the rectal catheter can be detached without the waste collections bag 3 subsequently leaks.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nursing (AREA)
  • Epidemiology (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • External Artificial Organs (AREA)
  • Jellies, Jams, And Syrups (AREA)

Abstract

L'invention porte sur un dispositif d'irrigation intestinale (1 ; 32) qui comprend un sac de récupération de déchets (3) et un cathéter rectal (4 ; 4'). Le cathéter rectal (4 ; 4') comporte une première extrémité (19) prévue pour un raccordement avec le sac de récupération de déchet (3) et une extrémité libre (28) prévue pour une insertion dans le rectum, le sac de récupération de déchet (3) comporte une première paroi (5) réunie à la périphérie avec une seconde paroi opposée (6) et une ouverture d'entrée (9) pour des déchets irrigués (29). L'ouverture d'entrée (9) comporte une première partie de raccord (8 ; 8') permettant un raccordement du cathéter rectal (4 ; 4') en communication de fluide avec le sac (3), et le sac (3) comporte une seconde partie de raccord (7 ; 7') à l'intérieur du sac (3) pour un accouplement avec la première partie de raccord (8 ; 8'). Le dispositif fournit une alternative à gain de temps aux dispositifs connus, et il n'est pas reconnu d'émissions d'odeur et de senteur déplaisante pendant la procédure d'irrigation.
PCT/IB2007/054401 2007-10-30 2007-10-30 Dispositif d'irrigation intestinale WO2009056906A1 (fr)

Priority Applications (8)

Application Number Priority Date Filing Date Title
CA2703247A CA2703247C (fr) 2007-10-30 2007-10-30 Dispositif d'irrigation intestinale et methode d'utilisation de ce dernier
DK07826916.4T DK2211937T3 (da) 2007-10-30 2007-10-30 En tarmskylningsindretning
AT07826916T ATE517647T1 (de) 2007-10-30 2007-10-30 Darmspülvorrichtung
CN2007801013702A CN101842125B (zh) 2007-10-30 2007-10-30 肠灌洗装置及其使用方法
US12/738,290 US8574206B2 (en) 2007-10-30 2007-10-30 Intestinal irrigation device and method of using the device
EP07826916A EP2211937B8 (fr) 2007-10-30 2007-10-30 Dispositif d'irrigation intestinale
PCT/IB2007/054401 WO2009056906A1 (fr) 2007-10-30 2007-10-30 Dispositif d'irrigation intestinale
NO20100769A NO20100769L (no) 2007-10-30 2010-05-27 Tarmskyllingsanordning

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/IB2007/054401 WO2009056906A1 (fr) 2007-10-30 2007-10-30 Dispositif d'irrigation intestinale

Publications (2)

Publication Number Publication Date
WO2009056906A1 true WO2009056906A1 (fr) 2009-05-07
WO2009056906A8 WO2009056906A8 (fr) 2010-06-03

Family

ID=39492470

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2007/054401 WO2009056906A1 (fr) 2007-10-30 2007-10-30 Dispositif d'irrigation intestinale

Country Status (8)

Country Link
US (1) US8574206B2 (fr)
EP (1) EP2211937B8 (fr)
CN (1) CN101842125B (fr)
AT (1) ATE517647T1 (fr)
CA (1) CA2703247C (fr)
DK (1) DK2211937T3 (fr)
NO (1) NO20100769L (fr)
WO (1) WO2009056906A1 (fr)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10183112B2 (en) 2013-08-30 2019-01-22 Hollister Incorporated Device for trans anal irrigation
US10737013B2 (en) 2014-07-08 2020-08-11 Hollister Incorporated Portable trans anal irrigation device
US10765796B2 (en) 2014-07-08 2020-09-08 Hollister Incorporated Trans anal irrigation platform with bed module
US11383021B2 (en) 2016-07-08 2022-07-12 Hollister Incorporated Wireless electronic pump design for a body cavity irrigation device
US11497844B2 (en) 2016-12-14 2022-11-15 Hollister Incorporated Transanal irrigation device and system
US11577018B2 (en) 2016-07-08 2023-02-14 Hollister Incorporated Body cavity irrigation integrated manual controller and pump device, system and method
US11679018B2 (en) 2018-04-12 2023-06-20 Ostomycure As Lid for an ostomy implant

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8105335B1 (en) 2008-08-11 2012-01-31 Burton Bentley Fecal impaction removal tool
CN102319458A (zh) * 2011-07-27 2012-01-18 常熟市赛爱斯医疗器材有限公司 排便集便袋用的肛门植入机构
CN102319459A (zh) * 2011-07-27 2012-01-18 常熟市赛爱斯医疗器材有限公司 便秘患者用的冲洗装置的集便袋结构
US9889280B2 (en) 2013-04-01 2018-02-13 Indiana University Research And Technology Corporation Rectal catheter configured for pediatric care
KR101749049B1 (ko) * 2015-05-13 2017-06-20 박갑환 배변처리장치
US11596422B2 (en) 2016-11-03 2023-03-07 Hollister Incorporated Adjustable bowel treatment arm
WO2018228390A1 (fr) * 2017-06-12 2018-12-20 许庆林 Dispositif de guidage d'excréments et ensemble de guidage d'excréments
US11590018B2 (en) * 2019-05-14 2023-02-28 Medline Industries, Lp Fecal management applicator and assembly
US11103260B2 (en) * 2019-07-18 2021-08-31 Medline Industries, Inc. Fecal impaction removal device
CN112494249A (zh) * 2020-11-28 2021-03-16 东莞市鸿德医用塑料制品有限公司 粪袋支架及粪袋

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US3672370A (en) * 1970-03-20 1972-06-27 Arthur E Marsan Colostomy irrigator
US4182332A (en) * 1978-02-17 1980-01-08 Delaney Richard P Rectal catheter
EP0150277A1 (fr) * 1981-08-17 1985-08-07 E.R. Squibb & Sons, Inc. Embase pour une douille d'irrigation
US5624419A (en) * 1995-04-24 1997-04-29 Ersek; Robert A. Closeable, disposable wound care system
US20030229324A1 (en) * 2002-06-11 2003-12-11 King Lori L. Closed drainage system for irrigating ostomies
US20050027266A1 (en) * 2003-07-29 2005-02-03 Howlett Jim D. Enema body fluid collecting bag
US20060189957A1 (en) * 2004-07-08 2006-08-24 Jim Howlett Human body fluid collection bag

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10183112B2 (en) 2013-08-30 2019-01-22 Hollister Incorporated Device for trans anal irrigation
US11116891B2 (en) 2013-08-30 2021-09-14 Hollister Incorporated Device for trans anal irrigation
US10737013B2 (en) 2014-07-08 2020-08-11 Hollister Incorporated Portable trans anal irrigation device
US10765796B2 (en) 2014-07-08 2020-09-08 Hollister Incorporated Trans anal irrigation platform with bed module
US11497845B2 (en) 2014-07-08 2022-11-15 Hollister Incorporated Trans anal irrigation platform with bed module
US11383021B2 (en) 2016-07-08 2022-07-12 Hollister Incorporated Wireless electronic pump design for a body cavity irrigation device
US11577018B2 (en) 2016-07-08 2023-02-14 Hollister Incorporated Body cavity irrigation integrated manual controller and pump device, system and method
US11497844B2 (en) 2016-12-14 2022-11-15 Hollister Incorporated Transanal irrigation device and system
US11679018B2 (en) 2018-04-12 2023-06-20 Ostomycure As Lid for an ostomy implant

Also Published As

Publication number Publication date
DK2211937T3 (da) 2011-11-14
EP2211937A1 (fr) 2010-08-04
EP2211937B1 (fr) 2011-07-27
NO20100769L (no) 2010-07-20
ATE517647T1 (de) 2011-08-15
WO2009056906A8 (fr) 2010-06-03
CN101842125A (zh) 2010-09-22
CN101842125B (zh) 2012-07-04
CA2703247A1 (fr) 2009-05-07
US20100234821A1 (en) 2010-09-16
EP2211937B8 (fr) 2011-10-05
US8574206B2 (en) 2013-11-05
CA2703247C (fr) 2015-04-28

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